Organization
WEST ORANGE PHYSICIANS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLISON KELLY RN (DIRECTOR, PHYSICIAN OPERATIONS)
(407) 296-1823
Entity
Organization
Contact information
Practice address
10000 W COLONIAL DR, SUITE 496, OCOEE, FL 34761-3498
(407) 296-1823
(407) 296-1873
Mailing address
PO BOX 919297, ORLANDO, FL 32891-9297
(407) 296-1823
(407) 296-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/18/2009
Last updated
04/27/2010
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